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As American Girl only offers specific options in hair color, eye color, and skin tone, customization is the easiest way to have more unique dolls into a collection.
American Girl currently only offers three modifications to dolls:
These are only available for 18" Dolls, in particular modern dolls.
The most common types of unofficial modification are:
Unofficial modifications may result in a doll being unable to be repaired by the American Girl Hospital.